Individual provider Active NPI

Pareshkumar G Patel, SPECIALIST ASSISTANT

  • Orthopedic Assistant
  • Fremont, CA
National Provider Identifier
1255046983
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic AssistantTaxonomy code 246ZX2200X
License
000256 Issued in NY
Practice address
4805 Mallard CMN
Fremont, CA 94555-2829
Phone
(508) 915-1418
NPI assigned
Jan 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Assistant 246ZX2200X 000256 NY Primary

Addresses

Primary practice location

4805 Mallard CMN
Fremont, CA 94555-2829

Mailing address

4805 Mallard CMN
Fremont, CA 94555-2829
Phone (508) 915-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000256NYMDAcupuncturist

Interoperability endpoints

  • Direct secure messaging: paresh.patel.1@21645.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1255046983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 MALLARD CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552829",
            "telephone_number": "508-915-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 MALLARD CMN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552829",
            "telephone_number": "508-915-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARESHKUMAR",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "SPECIALIST ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "NY",
            "license": "000256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.